Individual
CARROLL FAIRCHILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1740 W TAYLOR ST, CHICAGO, IL 60612-7232
(219) 781-8918
Mailing address
727 W MADISON ST APT 1009, CHICAGO, IL 60661-2400
(219) 781-8918
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
209033551
IL
Other
Enumeration date
08/01/2023
Last updated
11/07/2025
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